| NPI | 1033442348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD MACLIN President 636-240-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2001015969) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |